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In the last 20 years, Black adults living in rural areas of the United States experienced high mortality rates due to diabetes, high blood pressure, heart disease and stroke compared to white adults. According to a research letter published in the
Journal of the American College of Cardiology, racial disparities improved minimally in rural areas over the last two decades, with larger improvements occurring in urban areas. While modest gains have been made in reducing racial health inequities in urban areas, large gaps in death rates between Black and white adults persist in rural areas, particularly for diabetes and hypertension. We haven t meaningfully narrowed the racial gap in outcomes for these conditions in rural areas over the last two decades, said Rishi Wadhera, MD, MPP, MPhil, cardiologist at Beth Israel Deaconess Medical Center in Boston and senior author of the study. Given that diabetes, hypertension, and heart disease are preventable and treatable, target
Months after a COVID-19 infection, patients may experience long-haul symptoms like rapid heart rate, dizziness upon standing and lightheadedness consistent with a diagnosis of postural orthostatic tachycardia syndrome (POTS), according to a clinical case report in
Photo Credit: Ron Waksman/Medstar Washington Hospital Center
The BASILICA procedure, which involves the intentional laceration of a preexisting aortic leaflet prior to TAVI in order to prevent coronary obstruction, can be safely performed in the vast majority of patients, according to new data from an international registry.
Among 214 patients undergoing BASILICA at 25 centers, the rate of death at 30 days was 2.8%, as was the rate of stroke, and just one patient (0.5%) had a disabling stroke.
Senior investigator Ron Waksman, MD (MedStar Washington Hospital Center, Washington, DC), said BASILICA offers a “unique solution” to patients at high risk for coronary obstruction with TAVI, one that isn’t associated with increased cost. “We wanted to prove that BASILICA was safe, number one, and feasible, number two, and effective,” Waksman told TCTMD.
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Women who experienced hypertensive disorders of pregnancy (HDPs) but did not develop chronic hypertension have a greater risk of premature mortality, specifically cardiovascular disease (CVD)-related deaths, according to a study published in the
Journal of the American College of Cardiology (
JACC). A separate
JACC study examined the cardiovascular health risks associated with pregnancy in obese women with heart disease.
HDPs, which occur in approximately 10% of all pregnancies worldwide, are among the most common health issues during pregnancy. There are four types of HDPs: chronic hypertension, gestational hypertension (GHTN), preeclampsia and chronic hypertension with superimposed preeclampsia. GHTN and preeclampsia, which occur at or after 20 weeks gestation, are leading causes of maternal and perinatal morbidity and mortality. While women with a history of HDPs have a three to five times higher risk of developing chronic hypertension, it is unclear whether the a